PARKERSBURG SURGICAL ASSOCIATES, PLLC (NPI# 1548285117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548285117 |
| Entity Type | Organization |
| Organization Name | PARKERSBURG SURGICAL ASSOCIATES, PLLC |
| Practice Address |
800 Grand Central Mall Suite 2 Vienna WV 26105-4131 |
| Practice Telephone | 3048654345 |
| Practice Fax Number | 3044205995 |
| Mailing Telephone | 3048654345 |
| Mailing Fax Number | 3044205995 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2011-08-11 |
| Authorized Official Name | DR. JOHN KEVIN KOCH (PARTNER) |
| Authorized Official Telephone | 3048654345 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | AETNA | 0005186653 | 01 |
| WV | MOUNTAIN STATE BCBS | 001707362 | 01 |
| OH | 2197448 | 05 | |
| WV | 0011154000 | 05 | |
| WV | WV COMP | 1043080 | 01 |
| WV | MEDICARE PTAN | 9298571 | 01 |
| Street Address |
800 GRAND CENTRAL MALL SUITE 2 |
| City | VIENNA |
| State | WV |
| Zip Code | 26105-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427051390 | Robert Randal Heavner | Family Medicine | 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4131 | 2005-05-24 |
| 1710469606 | Karen Malee Palmateer | Physician Assistant | 800 Grand Central Mall, Mov Medical Office Building, Suite 10, Vienna, WV 26105 | 2018-09-06 |
| 1982080057 | Amanda Holman | Registered Nurse | 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4100 | 2015-07-30 |
| 1073903373 | Mid-ohio Valley Nephrology Association | Family Medicine | 800 Grand Central Mall, Suite 9, Vienna, WV 26105-4100 | 2015-01-26 |
| 1801204003 | William A Cline, Do, Pllc | Surgery | 800 Grand Central Mall, Suite 2, Vienna, WV 26105-4100 | 2014-07-31 |
| 1932459542 | Heather Nichole Nutter | Audiologist | 800 Grand Central Mall, Suite 11, Vienna, WV 26105-4100 | 2012-09-12 |
| 1215284997 | Pamela J Parker | Nurse Practitioner | 800 Grand Central Mall, Suite 4, Vienna, WV 26105-4100 | 2012-08-13 |
| 1609139906 | First Settlement Orthopaedics Inc | Orthopaedic Surgery | 800 Grand Central Mall, Suite 6, Vienna, WV 26105-4100 | 2012-06-21 |
| 1720368483 | Matthew Dean Sells | Physical Therapist | 800 Grand Central Mall, Suite 1, Vienna, WV 26105-4100 | 2011-08-25 |
| 1265732093 | Megan Ann Fluharty | Physician Assistant | 800 Grand Central Mall, Ste 3, Vienna, WV 26105-4100 | 2010-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536596 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 3 Merrywood Lane, Vienna, WV 26105 | 2017-09-06 |
| 1558889196 | Medexpress Urgent Care, PC - Virginia | Emergency Medicine | 2 Merrywood Lane, Vienna, WV 26105 | 2017-09-05 |
| 1538555206 | Cecilia Velarde Harrington | Internal Medicine | 418 Grand Park Dr Ste 311, Parkersburg, WV 26105 | 2015-04-09 |
| 1568854974 | Kathryn Eileen Epkey | Student in an Organized Health Care Education/Training Program | 411 28th Street, Vienna, WV 26105 | 2015-02-21 |
| 1023120441 | Robert William Azar | Otolaryngology | 1801 Grand Central Ave, Vienna, WV 26105 | 2006-08-31 |
| 1578521407 | John A Stavrakis | Optometrist | 701 Grand Central Ave, Vienna, WV 26105 | 2006-05-02 |
| 1881203149 | Charlene Rein | Dentist | 501 Grand Central Ave, Vienna, WV 26105 | 2020-07-23 |
| 1891355434 | Mohamed Moustafa Meky | Dentist | 501 Grand Central Ave, Parkersburg, WV 26105 | 2019-06-17 |
| 1568990091 | Jonathon Ray Barbosa Scott | Specialist/Technologist | 1 Campus Drive, Vienna, WV 26105 | 2017-05-29 |
| 1356772677 | Drs. Krajekian,brock & Henderson Inc | Dentist | 417 Grand Park Dr, Suite 103, Parkersburg, WV 26105 | 2013-12-12 |
| Find all providers in zip 26105 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275938136 | Surgical Consultants of Northern Virginia Pllc | Surgery | 1655 Hunting Crest Way, Vienna, VA 22182-1563 | 2014-11-04 |
| 1083811103 | Buelent Yapicilar | Surgery | 8230 Boone Blvd Ste 360, Vienna, VA 22182-2632 | 2007-07-02 |
| 1285690651 | John Kenyon Taylor | Surgery | 1449 Beulah Rd, Vienna, VA 22182-1413 | 2006-04-25 |
| 1922494459 | Integrative Hyperbaric & Wound Care LLC | Surgery | 410 Pine St Se, Suite 330, Vienna, VA 22180-4861 | 2015-04-10 |
| 1801204003 | William A Cline, Do, Pllc | Surgery | 800 Grand Central Mall, Suite 2, Vienna, WV 26105-4100 | 2014-07-31 |
| 1982757043 | Orthopaedic & Sports Medicine Assoc PC | Surgery | 133 Maple Ave E, Suite 300, Vienna, VA 22180 | 2007-01-19 |
| 1649203118 | Hazem A Elariny | Surgery | 2235 Cedar Ln, 302, Vienna, VA 22182-5202 | 2006-07-08 |
| 1790724516 | William A Cline | Surgery | 800 Grand Central Mall, Suite 2, Vienna, WV 26105-4100 | 2006-06-06 |
| 1770581738 | Adam Jared Kaplan | Surgery | 800 Grand Central Mall, Suite 2, Vienna, WV 26105-4100 | 2005-07-13 |
| 1144228024 | Michael Don Roberts | Surgery | 800 Grand Central Mall, Suite 2, Vienna, WV 26105-4100 | 2005-07-13 |
| Find all providers in VIENNA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.